{ "model": { "rank": 7641, "code": "thing-q271993", "model_id": "vr.tr.hyperglycemia", "name": "hyperglycemia", "purpose": "Let an agent explain hyperglycaemia and its forms, relay causes, patterns, diagnosis and management from diabetes guidelines in general terms, route people with symptoms or high readings to clinicians and emergency services, and distinguish hyperglycaemia from diabetes as a disease, from hypoglycaemia and from normal post-meal rises.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q271993/", "tier": 2, "score": 54, "payload": { "layer": "wikidata", "aliases": [ "abnormal glucose tolerance in mother complicating pregnancy childbirth and/or puerperium", "dawn phenomenon", "Chronic Somogyi rebound", "glucose intolerance", "Impaired fasting glucose", "Oxyhyperglycemia" ], "aliasCount": 6, "merged": 6, "knownIn": 54, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.hyperglycemia", "source": { "dataset": "wikidata", "item": "Q271993", "url": "https://www.wikidata.org/wiki/Q271993", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T14:25:16Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 4, "engine": "claude" }, "metaModel": { "id": "THING-Q271993", "registryId": "vr.tr.hyperglycemia", "name": "hyperglycemia", "version": "0.2.0-wave.4", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q271993/", "model": { "registry_id": "vr.tr.hyperglycemia", "name": "hyperglycemia", "purpose": "Let an agent explain hyperglycaemia and its forms, relay causes, patterns, diagnosis and management from diabetes guidelines in general terms, route people with symptoms or high readings to clinicians and emergency services, and distinguish hyperglycaemia from diabetes as a disease, from hypoglycaemia and from normal post-meal rises.", "definition": "An abnormally high concentration of glucose in the blood, occurring in diabetes and in intermediate states such as impaired fasting glucose and glucose intolerance, in patterns such as the dawn phenomenon of early morning rise and the debated Somogyi rebound after nocturnal lows, in pregnancy as gestational glucose disorders, and in transient forms such as oxyhyperglycaemia after meals; severe hyperglycaemia can lead to emergencies such as diabetic ketoacidosis and needs urgent care.", "what_it_is_for": "Not applicable; a clinical state.", "affordances": [ "route emergencies first", "explain forms and patterns", "relay diagnosis and management", "distinguish related conditions" ], "distinguishing_features": [ "Elevated glucose", "Diabetes marker", "Named patterns", "Emergency potential" ], "appearance": "Not a visible object; thirst, frequent urination and fatigue when severe.", "visual_identification": [ "High blood glucose", "Impaired fasting glucose, glucose intolerance, dawn phenomenon, Somogyi rebound, gestational glucose disorders, oxyhyperglycaemia", "Diabetes is the disease; hypoglycaemia is low glucose; post-meal rises are normal within limits" ], "physical_properties": [ { "quantity": "fasting glucose threshold for diabetes", "typical_range": "7.0", "unit": "mmol per litre", "note": "126 mg per dl" }, { "quantity": "impaired fasting glucose", "typical_range": "6.1-6.9", "unit": "mmol per litre", "note": "WHO" }, { "quantity": "people with diabetes worldwide", "typical_range": "about 540", "unit": "million", "note": "IDF estimates" } ], "families_and_kinds": [ "hyperglycaemia in type 1 and type 2 diabetes", "prediabetes states such as impaired fasting glucose and glucose intolerance", "gestational hyperglycaemia", "circadian patterns such as the dawn phenomenon and the debated Somogyi effect", "transient and stress hyperglycaemia including oxyhyperglycaemia", "hyperglycaemic emergencies" ], "related_models": [ { "relation": "is a kind of", "target": "glucose metabolism disease", "why": "in registry terms" }, { "relation": "is a feature of", "target": "diabetes mellitus", "why": "" }, { "relation": "is contrasted with", "target": "hypoglycemia", "why": "low blood glucose" }, { "relation": "can lead to", "target": "diabetic ketoacidosis", "why": "when severe" } ], "identifiers": [ { "scheme": "ICD-10", "value_or_pattern": "R73", "note": "elevated blood glucose level" }, { "scheme": "MeSH", "value_or_pattern": "D006943", "note": "Hyperglycemia" } ], "standards_and_regulation": [ "WHO and ADA diagnostic criteria", "Diabetes care guidelines", "Gestational diabetes screening guidelines" ], "failure_modes_and_hazards": [ "Missed emergencies", "Agents giving personal medical advice", "Registry aliases mixing states, patterns and a pregnancy code" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "emergency", "name": "Emergency", "description": "Severe hyperglycaemia.", "rationale": "Clinical.", "layers": [ { "id": "act", "name": "Act", "description": "Act now.", "findings": [ { "id": "act-finding", "name": "Act", "description": "Act.", "questions": [ { "text": "Does the user describe very high readings with vomiting, drowsiness, rapid breathing or confusion, which need emergency care?", "kind": "boundary" }, { "text": "Has the agent directed the user to emergency services or their diabetes team before anything else?", "kind": "action" } ] } ] }, { "id": "signs", "name": "Signs", "description": "Warning signs.", "findings": [ { "id": "signs-finding", "name": "Signs", "description": "Signs.", "questions": [ { "text": "What warning signs of ketoacidosis and hyperosmolar state do guidelines list?", "kind": "definition" }, { "text": "Which entry fits diabetic ketoacidosis?", "kind": "action" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "What hyperglycaemia is.", "rationale": "Clinical.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and forms.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What is hyperglycaemia, and how do prediabetes states, gestational disorders and named patterns differ from diabetes and hypoglycaemia?", "kind": "definition" }, { "text": "Is the question about the concept or a personal reading needing a clinician?", "kind": "boundary" } ] } ] }, { "id": "patterns", "name": "Patterns", "description": "Patterns.", "findings": [ { "id": "patterns-finding", "name": "Patterns", "description": "Patterns.", "questions": [ { "text": "What are the dawn phenomenon, the Somogyi rebound and oxyhyperglycaemia, with the evidence attributed?", "kind": "provenance" }, { "text": "Which entry fits the specific pattern?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Diagnosis and management.", "rationale": "Clinical.", "layers": [ { "id": "diagnosis", "name": "Diagnosis", "description": "Diagnosis.", "findings": [ { "id": "diagnosis-finding", "name": "Diagnosis", "description": "Diagnosis.", "questions": [ { "text": "How are hyperglycaemia and prediabetes diagnosed by fasting glucose, tolerance tests and HbA1c, as guidelines describe?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "management", "name": "Management", "description": "Management.", "findings": [ { "id": "management-finding", "name": "Management", "description": "Management.", "questions": [ { "text": "How is hyperglycaemia managed with lifestyle, medicines and monitoring, in general terms?", "kind": "provenance" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Pregnancy and research.", "rationale": "Context.", "layers": [ { "id": "pregnancy", "name": "Pregnancy", "description": "Pregnancy.", "findings": [ { "id": "pregnancy-finding", "name": "Pregnancy", "description": "Pregnancy.", "questions": [ { "text": "How are glucose disorders in pregnancy screened and managed, as guidelines state?", "kind": "provenance" }, { "text": "Is the user pregnant and asking about their own care, which needs a clinician?", "kind": "boundary" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What research addresses glucose monitoring and prevention of diabetes, with findings attributed?", "kind": "provenance" }, { "text": "Which entry fits continuous glucose monitoring?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should prediabetes, dawn phenomenon and gestational diabetes be separate primary entries?", "How should guideline sources be linked?", "The registry entry has merged aliases naming states, patterns and a pregnancy classification; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a hyperglycemia, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain hyperglycaemia and its forms, relay causes, patterns, diagnosis and management from diabetes guidelines in general terms, route people with symptoms or high readings to clinicians and emergency services, and distinguish hyperglycaemia from diabetes as a disease, from hypoglycaemia and from normal post-meal rises.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: abnormal glucose tolerance in mother complicating pregnancy childbirth and/or puerperium, dawn phenomenon, Chronic Somogyi rebound, glucose intolerance, Impaired fasting glucose, Oxyhyperglycemia.", "6 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 54 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a hyperglycemia, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "abnormal glucose tolerance in mother complicating pregnancy childbirth and/or puerperium", "dawn phenomenon", "Chronic Somogyi rebound", "glucose intolerance", "Impaired fasting glucose", "Oxyhyperglycemia" ] } ], "standing": "Described in 54 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 6 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one hyperglycemia from another, and a hyperglycemia from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a hyperglycemia sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a hyperglycemia from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a hyperglycemia passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a hyperglycemia between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a hyperglycemia, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a hyperglycemia is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What hyperglycemia is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of hyperglycemia are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is hyperglycemia operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of hyperglycemia and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of hyperglycemia?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as hyperglycemia?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a hyperglycemia came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a hyperglycemia and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a hyperglycemia is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a hyperglycemia, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a hyperglycemia, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a hyperglycemia is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }